The American Express Launched A Coalition Loyalty Program

Pay-for-performance payment model – healthcare payment systems that offer financial rewards to providers who achieve, improve or excel their performance on specified quality of care and cost measures (HealthCare Incentives Improvement Institute, N.D.)

First implemented in 1985 by Aetna (previously U.S. Healthcare), P4P programs were used to reward top performers and improve outcomes (Bruno, 2012). The incentives were meant to improve the quality of patient care by basing incentives on patient outcomes. Conversely, fee-for-service reimbursements are based on the treatments and set limits on the amount reimbursed for services. Because of these limits, incentives for use of pharmaceuticals and non-invasive procedures can impact how physicians practice.

In 2012, the ACA found an excessive amount of readmissions of patients that were hospitalized within 30 days for the same medical conditions. This factor viewed under the ACA as a quality issue and CMS implemented value-based incentive payments based on performance in a set of quality measures. The plan is to implement a pay for performance (P4P) in formulas used by Medicare to reimbursement providers. “The objective is to link reimbursement to quality and efficiency as an incentive to improve the quality of health care, as well as reduce system-wide costs” (Shi and Singh, 2015). In addition to the P4P, nonprofit hospitals also focus on continual improvement, data and cost containment throughout the organization (Adamopoulos,

The second significant change for Walgreens in recent history is the purchase of Drugstore.com, a leading online retail pharmacy, in 2011 for the sum of $409 million. In addition, subsidiary companies of Drugstore.com were also purchased (Beauty.com, SkinStore.com, and VisionDirect.com). 4 Analysts have debated whether the recent acquisition should remain as a stand alone business or whether it should be integrated into the Walgreens business. Proponents of the integration argue that a consistent brand experience which extends from physical stores into the digital web will increase consumer loyalty. Proponents of leaving the online venture as a stand alone entity argue that integration of Drugstore.com into Walgreen’s will open up debate on pricing may diminish the consumer loyalty from Drugstore.com, thus negating the potential increase in sales. Walgreens has made it clear that it intends to leave the newly acquired online businesses as stand alone entities. 5

In the final phase, there were four metrics are difficult for me to understand includes the brand and market penetration, the share of requirements and the customer profitability. I could not confirm which data was represented the “Total Population” and I still confused about the meaning of share of requirements. Additionally, I have been unable to determine whether the last two columns of data (Category spending and Subcategory spending) in the dataset were used to calculate the Share of requirements formula. In my mind, the ‘80:20 rule’ usually refers to the 80% profits came from the 20% of customers, nevertheless, 20% of the customers would generate above 100% profits based on the analysis of “whale curve” (Čermák, 2015).

In conclusion, given that due to lack of better judgement throughout all the Rite Aid chain store within the nation many of the policies had to be rewritten based on pill bottles being disposed with patient’s personal information listed on them. Due to those actions it has brought into investigation by several agencies such as HHS Office of Civil Rights (OCR) and FTC which will focus on questioning the laws broken regarding HIPAA laws that was violated. Consequently, following the entire investigation it was found that Rite Aid was held liable under the HIPAA privacy act for improperly disregarding patients pill bottles in the public garbage. The ending result of this case has found Rite Aid at fault and they agreed to pay a settlement in the

Pay-for-performance programs are expected to expand across the United States health care in the near future, especially with the implementation of the Affordable Care Act. The pay-for-performance is going to continue to increase the quality of health care that the patient receives from their

Discounts are available to you if you meet the eligibility requirements (Brooks, 2003). The eligibility criteria are developed from the Federal Poverty Guidelines, based on the family size and the family income (Brooks, 2003). The discounts apply to your amount that is due to Fairview Medical Associates. Discounts are all inclusive, covering visits, procedures, etc (Brooks, 2003). The collection of family size and income information from you must be a part of the usual registration process (Brooks, 2003). If you decline to offer this information you are ineligible to receive a discount (Brooks, 2003). Two (2) week grace periods are given to patients without the required documentation to receive the discounts, if you do not bring the required information than you will not receive any discounts in the future (Brooks, 2003).

reimbursements are now tied to performance on quality metrics, as well as patient experience. All part

Even though Rite Aid was not in within compliance by disposing of patients pill bottles incorrectly and allowing everyone to view many person’s personal information against proper protocol. These actions are surely against HIPAA act violations, the privacy rules have caused the office of the HHS Office for Civil Rights (OCR) and the FTC to made an initiative and file a formal investigation against the largest drug store chain. Throughout the investigation it was concluded that Rite Aid was legally in violation with the HIPAA privacy act and the review indicated several issues concerning the failures of disregarding of patient’s personal information. Consequently, after all discrepancies were identified Rite Aid agreed to settle the HIPAA case

One of the major goals of the ACA is to improve quality of care by using a value-based system. Nationwide, nearly 3,500 short-term acute-care hospitals are reimbursed under the Inpatient Prospective Payment System (IPPS). Within the IPPS is the Hospital Value-Based Purchasing Program is (VBP). This program “rewards acute care

American Express Company (NYSE: AXP), sometimes known as AmEx, is a diversified global financial services company headquartered in New York City. Founded in 1850, it is one of the 30 components of the Dow Jones Industrial Average. The company is best known for its credit card, charge card, and traveler's cheque businesses. Amex cards account for approximately 24% of the total dollar volume of credit card transactions in the US, the highest of any card issuer. [1]

Consumers love incentives. For example, I shop at Old Navy all the time and every few months they give you something called Old Navy Bucks If you spend 25 dollars you get 10 dollars off; if you spend 50 you get 20 dollars off and if you spend 75 dollars you can get 30 dollars off. I always saw this as a great deal and I always went so I can use my Old Navy Bucks but after this class I now understand what they are doing. They know and predicted that I would come and use the bucks and because I just saved 30 dollars I am going to be forced to buy more since I thought I just saved money. Either way the store got me to buy more goods and services. If you figure out a great incentive to offer patients I am more than sure they would not hesitate

American Express, also know as AMEX, is a global financial services company headquartered in New York City and founded in 1850. With 54,000 employees and a revenue of over 35 billion dollars American Express stands tall on the New York Stock Exchange (Sec.gov). American Express is best known for it’s credit cards, which make up about twenty-five percent of total dollar volume in credit card transactions in The United States of America (Reviews.greatplacetowork.com). American Express’ goal is to maintain a leading and almost elite reputation with as many qualified card holders as possible. American Express does this by concentrating on the customer’s experience and branding that experience. American Express’ key components in maintaining and further exceling into this goal includes focusing on their human recourses, social responsibility, and marketing techniques.

The American Express company also known as Amex, it is an American multinational corporation. The company was eventually started as an express mail business in Buffalo, New York. It was formed as a joint stock corporation through the merger of express companies owned by Henry Wells( Wells Company), William G. Fargo (Livingston, Fargo and company)and John Warren Butterfield (Wells, Butterfield and company).